Cedar Rapids Chamber_2005_Linn_OTC
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Content
06/09/2005 16 :34 FAX 319 39852 28 -
CEDAR RAPIDS CHAMBER
002
Revised 07/04
IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD
";
P
Form
DR-OTC
AYI
'46ifva
510 EAST 12TM , SUITE 1A DES MOINES, IA 50319 Fax: (515)281-3701 www.lowa.gov/ethic s
ONE-TIME CONTRIBUTION IN EXCESS OF $750 BY A PERMANENT ORGANIZATION For office use oniv Indexed Audited Checked Computer
ONTRIBUTION IN EXCESS OF $750 ONE-TV BY A PERMANENT ORGANIZATION
Code section 6BA.402(9) requires a permanent organization that contributes in excess of $750 to register and file reports as a PAC. This form is intended to serve those purposes . The form must be filed with th e Board on or before the tenth day of the date the check was issued .
ORGANIZATION MAKING CONTRIBUTIOW Cedar Rapids Area
Name Chamber of Commerce Cedar Rapids
424 1 st
Ave NE
IA 52401
Mailing Address rcorbett© ccdarmpids.org Email Address (Optional)
City, State, Zip Code
319-398-5317
Area Code & Telephone No .
CONTACT PERSON FOR THE ORGANIZATION :
Name
Ron Corbett 424
1st Ave NE Cedar Rapids
IA 52401
City, State, Zip Area Code & Telephone Number
I
Mailing Address Email Address (Optional)
319-398-5317
CANDIDATE OR COMMITTEE RECEIVING THE CONTRIBUTION :
Citizens for a Better Cedar
Rapids - Vote Home Rule
Cedar
Name of Candidate or Committee
1211 Wiley Blvd SW 52404
Rapids IA 52404
Mailing Address Email Address (if available)
City, State, Zip Code Area Code & Telephone Number
Date of Contribution
6 -0 .%'-10C%
s 15000.00 Linn
Amount County (If Applicable)
6/14/02005
Date of Election If In-Kind Contribution, Describe
If contribution to candidate, disclose source of original funds used to make such contribution (attach additional pages if necessary). Criteria to use this form :
2. 3. 4. 5.
One campaign contribution in excess of $750 was made to a state or local candidate, party, political committee (PAC) foreither a candidate or a ballot issue, or any other organization that advocates the election or defeat of a candidate or ballot issue. Must be a permanent organization not established for election purposes . No person gave money to the organization for the purpose of the organization then using the money to make the contribution . If the contribution was made to a candidate, no funds from a corporation or other prohibited contributor under Iowa Code section 66A, 503 were used to make the contribution (this does not apply to a contribution made to a ballot issue committee). Only one contribution to any campaign committee except for a ballot issue committee was made in a calendar year. No more than one contribution may be made to any one ballot issue committee during a ballot issue election . If more than one contribution and the total amount of the contributions exceed $750, the organization must register with the Board as a political committee (PAC) within 10 days of crossing the $750 threshold.
Statement of Affirmation : I, f^I i ~~ bat affirm that the contribution reported above is accurate . I further affirm that the information concerning the organization is correct and true to the best of my knowledge. I understand that by filing this form, I am subject to the laws found In Iowa Code chapter 68A and administrative rules found in chapter 351 . I also understand that the failure to timely file this form leads to the imposition of civil penalties and the inte nal re to file the foamy lead to additional civil and criminal sanctions .
' 'Contribution' Includes goods or services that are provided for free or otherwise less than fair market value.
CEDAR RAPIDS CHAMBER
002
Revised 07/04
IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD
";
P
Form
DR-OTC
AYI
'46ifva
510 EAST 12TM , SUITE 1A DES MOINES, IA 50319 Fax: (515)281-3701 www.lowa.gov/ethic s
ONE-TIME CONTRIBUTION IN EXCESS OF $750 BY A PERMANENT ORGANIZATION For office use oniv Indexed Audited Checked Computer
ONTRIBUTION IN EXCESS OF $750 ONE-TV BY A PERMANENT ORGANIZATION
Code section 6BA.402(9) requires a permanent organization that contributes in excess of $750 to register and file reports as a PAC. This form is intended to serve those purposes . The form must be filed with th e Board on or before the tenth day of the date the check was issued .
ORGANIZATION MAKING CONTRIBUTIOW Cedar Rapids Area
Name Chamber of Commerce Cedar Rapids
424 1 st
Ave NE
IA 52401
Mailing Address rcorbett© ccdarmpids.org Email Address (Optional)
City, State, Zip Code
319-398-5317
Area Code & Telephone No .
CONTACT PERSON FOR THE ORGANIZATION :
Name
Ron Corbett 424
1st Ave NE Cedar Rapids
IA 52401
City, State, Zip Area Code & Telephone Number
I
Mailing Address Email Address (Optional)
319-398-5317
CANDIDATE OR COMMITTEE RECEIVING THE CONTRIBUTION :
Citizens for a Better Cedar
Rapids - Vote Home Rule
Cedar
Name of Candidate or Committee
1211 Wiley Blvd SW 52404
Rapids IA 52404
Mailing Address Email Address (if available)
City, State, Zip Code Area Code & Telephone Number
Date of Contribution
6 -0 .%'-10C%
s 15000.00 Linn
Amount County (If Applicable)
6/14/02005
Date of Election If In-Kind Contribution, Describe
If contribution to candidate, disclose source of original funds used to make such contribution (attach additional pages if necessary). Criteria to use this form :
2. 3. 4. 5.
One campaign contribution in excess of $750 was made to a state or local candidate, party, political committee (PAC) foreither a candidate or a ballot issue, or any other organization that advocates the election or defeat of a candidate or ballot issue. Must be a permanent organization not established for election purposes . No person gave money to the organization for the purpose of the organization then using the money to make the contribution . If the contribution was made to a candidate, no funds from a corporation or other prohibited contributor under Iowa Code section 66A, 503 were used to make the contribution (this does not apply to a contribution made to a ballot issue committee). Only one contribution to any campaign committee except for a ballot issue committee was made in a calendar year. No more than one contribution may be made to any one ballot issue committee during a ballot issue election . If more than one contribution and the total amount of the contributions exceed $750, the organization must register with the Board as a political committee (PAC) within 10 days of crossing the $750 threshold.
Statement of Affirmation : I, f^I i ~~ bat affirm that the contribution reported above is accurate . I further affirm that the information concerning the organization is correct and true to the best of my knowledge. I understand that by filing this form, I am subject to the laws found In Iowa Code chapter 68A and administrative rules found in chapter 351 . I also understand that the failure to timely file this form leads to the imposition of civil penalties and the inte nal re to file the foamy lead to additional civil and criminal sanctions .
' 'Contribution' Includes goods or services that are provided for free or otherwise less than fair market value.
